Tribal Self-Governance Negotiation
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AI Contract Overview
The Tribal Self-Governance Negotiation program enables Native American Tribes to engage with the Indian Health Service (IHS) in assuming responsibility for Programs, Services, Functions, and Activities related to health care. This arrangement empowers Tribes to manage and customize health care delivery based on the specific needs of their communities. Tribes have the flexibility to receive health care in one of three ways: directly from the IHS, by contracting with the IHS to administer specific programs (Title I Self-Determination Contracting), or by entering compacts to take control over health care programs (Title V Self-Governance Compacting). These options are not mutually exclusive, allowing Tribes to combine approaches according to their unique circumstances. The purpose of this Negotiation Cooperative Agreement is to assist Tribes by covering costs associated with preparing for and participating in these health care negotiations, facilitating a smoother transition toward self-governance. Managed by the Indian Health Service within the Department of Health and Human Services, this program offers contact support through the Division of Grants Management for inquiries. The program emphasizes the ongoing partnership between the federal government and Tribes in advancing tailored health services that better meet the needs and priorities of Tribal populations.
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Full Description
The TSGP allows Tribes to negotiate with the IHS to assume Programs, Services, Functions, and Activities (PSFAs), in whole or in part. This gives Tribes the authority to manage and tailor health care programs to best suit the needs of their communities. Participation in the TSGP gives Tribes flexibility to tailor their health care needs by choosing one of three ways to get health care from the Federal Government for their citizens.
Tribes can choose to:
- Get health care services directly from the IHS.
- Contract with the IHS to administer individual programs and services the IHS would otherwise provide (referred to as Title I Self-Determination Contracting).
- Compact with the IHS to assume control over health care programs the IHS would otherwise provide (referred to as Title V Self-Governance Compacting or the TSGP).
These options are not exclusive. Tribes may choose to combine options based on their individual needs and circumstances.This Negotiation Cooperative Agreement’s purpose is to help Tribes cover the costs associated with preparing for and participating these negotiations.
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